Organization
FAYETTEVILLE WOMANS CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRON SCOTT STRICKLAND M.D. (MANAGING PARTNER)
(910) 323-2103
Entity
Organization
Contact information
Practice address
2029 VALLEYGATE DR, FAYETTEVILLE, NC 28304-3688
(910) 323-2103
(910) 323-2219
Mailing address
2029 VALLEYGATE DR, SUITE 101, FAYETTEVILLE, NC 28304-3688
(910) 323-2103
(910) 323-2219
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230107
MEDICARE ACCOUNT NUMBER FOR GROUP
NC
05
—
8901520
—
NC
Enumeration date
06/07/2006
Last updated
06/28/2010
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